Change of pre-loss grief in relatives of cancer patients: a longitudinal study.

Introduction: Before the loss of a loved one to cancer, many relatives experience feelings of pre-loss grief. While pre-loss grief seems to have adverse health impacts, its longitudinal associations are still unclear. Therefore, this study aims to investigate the change of pre-loss grief over time, predictors of change and its relationship with psychological health over a time period of 1.5 years. Methods: Fifty-two relatives of people with cancer who were at least 18 years old and spoke German were included. Multiple linear regression analysis and paired Results: The total pre-loss grief score significantly decreased over time ( Discussion: Findings suggest that emotional pain may lessen over time, whereas other dimensions of pre-loss grief may remain stable. At the same time, because pre-loss grief is associated with some adverse health outcomes 1.5 years later, relatives with high levels of pre-loss grief may need additional support. Furthermore, this study provides preliminary insights into helpful intervention approaches for pre-loss grief. To understand underlying mechanisms, further dismantling studies are needed.